Individual
MAMTA M PANDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1032 E SUMNER ST, HARTFORD, WI 53027-1608
(262) 670-7240
Mailing address
1032 E SUMNER ST, HARTFORD, WI 53027-1608
(262) 670-7240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-112097
IL
207P00000X
Emergency Medicine Physician
Primary
61206-20
WI
Other
Enumeration date
02/28/2006
Last updated
02/08/2018
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